Eventos adversos identificables en las quejas médicas / Adverse events identified in medical complaints

BACKGROUND: "To err is human" (Institute of Medicine, 1999) begun the Patients' Safety movement worldwide. We undertook this study to determine the frequency of patient complaints related to adverse events in the National Health Services. METHODS: The National Commission of Medical Arbitration and the Vice-Ministry for Innovation and Quality has the aim of determining the frequency of real adverse events as a reason for complaints by patients and relatives against healthcare professionals and health services. RESULTS: The Emergency Department registered the highest number of events. Negligence and absence of protocols account for more than half of the adverse events. CONCLUSIONS: Management protocols in emergency departments are areas of opportunity for improvement that must be considered.

La prevención de la infección por el VIH en adolescentes y adultos jóvenes / Prevention against HIV infection in adolecentes and young adults

La prevención de la infección por el VIH en las comunidades escolares y universitarias adquiere una importancia transcedental entre los adolescentes y adultos jóvenes donde el riesgo de infección es por edad, ocupacion y ubicación, agregándose el factor de convivencia con otros grupos de alto índice de infección omo lo son los maestros y los trabajadores. Se requieren estrategias adecuadas para grupos específicos. En este trabajo se da a conocer la estrategia de la UNAM a través de una programa de tabajo realizado por un equipo de salud inter y multidisciplinario integrado en una comisión de prevención y control del SIDA que ha realizado acciones de información en la comunidad estudantil, detección, atención médica y psicológica, seguimiento y derivación. Los esfuerzos se han orientado también a la educación para la salud a través de la información y adiestramiento a profesores para que incluyan en sus clases tópicos preventivos del mismo. Consideramos importante la acción inmediata en la prevención de la infección por el VIH en adolescentes y adultos jóvenes por medio de acciones específicas y organizadas a cargo de personal de salud competente y las organizaciones comuntarias

The prevention of VIH infection in school and universitary communities acquires great importance in adolescents and young adults where the risk of HIV infection is caused by age, occupation, location, and also adjoining relations with other groups of high incidence of of infection, such as teachers and administrative employees. Adequate strategies for specific groups are needed. This paper focuses on the strategies developed at the National Autonomous University, of Mexico. An interdisciplinary health com- mission for the prevention and control of ADS was established to infonn the student body. Other activities per- fonned by this commission include providing medical and psychological attention for ~ms victims, as well as detecting and carring out follow-up studies of infected students. Eflorts in health education have also been mude by trainning profesors to include preventive memures against this disease as part of their subject matter. Specific, organized, and immediate action must be talten by health personnel and commwaity organizatons in order to prevent HIV infection in adolescents and young adults.